LOLA JETT SUDP
NPI 1629463617
Counselor - Addiction (Substance Use Disorder) in Shoreline, WA
About Lola Jett Sudp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOLA JETT SUDP (NPI 1629463617) is an individual addiction (substance use disorder) provider in Shoreline, Washington, licensed in Washington (CO 60521530) and active in the NPI registry since April 2015.Information from the official NPPES registry record, last updated October 22, 2021.
NPPES Registry Identity
★ Primary Specialty
Counselor · Addiction (Substance Use Disorder)
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
SHORELINE, WA 98133
SHORELINE, WA 98133
SHORELINE, WA 98133
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629463617, enumerated as an "individual" on April 06, 2015.
The provider is located at 16715 AURORA AVE N # 102 SHORELINE, WA 98133 and the phone number is (206) 546-9766.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).